Operative Blood Loss and Use of Blood Products after Laparoscopic and Conventional Open Colorectal Operations

Ravi P. Kiran, Conor P. Delaney, Anthony J. Senagore, Bruce L. Millward, Victor W. Fazio

Research output: Contribution to journalArticle

52 Citations (Scopus)

Abstract

Hypothesis: Blood loss, measured by estimated blood loss, drop in hemoglobin levels, and transfusion requirements, is lower in patients undergoing laparoscopic colectomy compared with patients undergoing conventional open colectomy. Design: Case-matched study. Setting: A university hospital. Patients: Patients undergoing laparoscopic colectomy between January 2000 and December 2001 were matched in a prospective database for age, sex, comorbidity, and surgical procedure with patients undergoing open colectomy during the same period. Main Outcome Measures: Estimated blood loss, drop in hemoglobin levels, and transfusion requirements after surgery were compared. Results: One hundred forty-seven patients undergoing the same operation using either an open or laparoscopic approach could be matched for age, sex, and diagnosis related grouping. There was no significant difference in American Society of Anesthesiologists class, body mass index, or preoperative and postoperative hemoglobin levels, but the open colectomy group required significantly more units of blood (P=.003) to maintain similar hemoglobin levels after surgery. Estimated blood loss (P

Original languageEnglish (US)
Pages (from-to)39-42
Number of pages4
JournalArchives of Surgery
Volume139
Issue number1
DOIs
StatePublished - Jan 2004
Externally publishedYes

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Colectomy
Hemoglobins
Comorbidity
Body Mass Index
Outcome Assessment (Health Care)
Databases

ASJC Scopus subject areas

  • Surgery

Cite this

Operative Blood Loss and Use of Blood Products after Laparoscopic and Conventional Open Colorectal Operations. / Kiran, Ravi P.; Delaney, Conor P.; Senagore, Anthony J.; Millward, Bruce L.; Fazio, Victor W.

In: Archives of Surgery, Vol. 139, No. 1, 01.2004, p. 39-42.

Research output: Contribution to journalArticle

Kiran, Ravi P. ; Delaney, Conor P. ; Senagore, Anthony J. ; Millward, Bruce L. ; Fazio, Victor W. / Operative Blood Loss and Use of Blood Products after Laparoscopic and Conventional Open Colorectal Operations. In: Archives of Surgery. 2004 ; Vol. 139, No. 1. pp. 39-42.
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